WO2009121031A4 - Methods of novel therapeutic candidate identification through gene expression analysis in vascular-related diseases - Google Patents
Methods of novel therapeutic candidate identification through gene expression analysis in vascular-related diseases Download PDFInfo
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Abstract
The present invention discloses multiple treatment regimens for vascular-related diseases and disorders. The present invention provides for methods of treating vascular-related disorders based on gene expression studies from samples collected from individuals having symptoms of vascular-related disorders. Additionally, methods are disclosed involving diagnostic techniques to focus treatment regimens. Finally, methods of treating vascular-related disorder involving targeting microRNAs are also disclosed.
Claims
1. A method of diagnosing an individual suffering from a vascular-related disease comprising the steps of: a) obtaining a biopsy sample from an artery of the individual; b) analyzing gene expression levels of the biopsy sample from the artery of the individual and a non-diseased control; c) comparing the gene expression levels between the biopsy sample from the artery of the individual and the non-diseased control; d) identifying at least one gene from step c) that is upregulated or downregulated in the biopsy sample based on the non-diseased control; e) obtaining gene products from the genes identified in step c) ; and f) selecting pharmaceutical agents which are known inhibitors of the gene products from the at least one upregulated gene or known promoters of the gene products from the at least one downregulated gene, wherein the pharmaceutical agents selected are administered to the individual suffering from the vascular-related disease.
2. The method of claim 1, wherein the vascular-related disease is pulmonary arterial hypertension.
3. The method of claim 1, wherein the biopsy sample is extracted using an endoarterial catheter.
4. The method of claim 1, wherein the gene expression levels are analyzed by extracting RNA from the biopsy sample.
5. The method of claim 4, wherein the RNA is converted to cDNA and the cDNA is compared in step c).
6. The method of claim 1, wherein step b) is accomplished using a microarray.
7. The method of claim 1, wherein the vascular-related disease is identified as early, early-mid, late-mid or late stage.
8. The method of claim 1, wherein the analyzing gene expression levels are for genes previously associated with the vascular-related disease.
9. The method of claim 1, wherein the analyzing gene expression levels are for genes not previously associated with the vascular-related disease.
10. A method of diagnosing a vascular-related disease in an individual comprising the steps of: a) identifying at least one gene that is upregulated or downregulated in the vascular-related disease comprising the steps of:
1) obtaining a biopsy sample from the individual's pulmonary artery during progression of the vascular-related disease;
2) obtaining a pulmonary artery sample from a non-diseased control;
3) extracting RNA from the samples in steps 1) and 2) ;
4) obtaining gene products from the RNA extracted in step 3); and 5) comparing gene expression levels from, the biopsy sample with the non-diseased control, and b) associating the genes upregulated in the biopsy sample with an inhibitor of the gene products for administration to the individual and genes downregulated in the biopsy sample with a promoter of the gene products for administration to the individual.
11. The method of claim 10, wherein the vascular-related disease is pulmonary arterial hypertension.
12. The method of claim 10, wherein the biopsy sample is extracted using an endoarterial catheter.
13. A method of identifying microRNA dysregulated in an individual having a vascular-related disease comprising the steps of: a) obtaining a biopsy sample from the individual's pulmonary artery during progression of the vascular-related disease; b) obtaining a pulmonary artery sample from, a non- diseased control; c) extracting RNA from the samples in steps a) and b); d) converting the RNA to cDNA; e) comparing levels of microRNA expression from the biopsy sample with the non-diseased control; and f) identifying the microRNA dysregulated in the vascular-related disease relative to baseline.
14. The method of claim 13/ wherein the vascular-related disease is pulmonary arterial hypertension.
15. The method of claim 13, wherein the microRNA is measured according to stages of progression of the vascular-related disease.
16. A use of targeting microRNAs in the preparation of a medicament for the treatment of a vascular-related disease comprising the following steps: a) assessing a stage of the vascular-related disease in the individual; b) identifying whether microRNAs are upregulated or downregulated; c) selecting the microRNAs to target based on the stage of the vascular-related disease and whether the aicroRNAs are upregulated or downregulated; and d) administering an agent known to inhibit an upregulated microRNA or an agent known to promote a downregulated microRNA to the individual, wherein the stage of the vascular-related disease is based on flow rates and blood pressure within an artery of the individual.
17. The use of claim 16, wherein the vascular-related disease is pulmonary arterial hypertension.
18. The use of claim 16, wherein the microRNAs to target are any microRNAs listed in Tables 12-17.
19. The use of claim 16, wherein the stage of the vascular-related disease is one of high flow and high pressure within the artery of the individual.
20. The use of claim 19, wherein the upregulated microRNAs to inhibit under the stage of high flow and high pressure comprise at least one member selected from the group consisting of hsa-miR-520g, hsa-miR-331-5p, hsa-miR-410, hsa-let-7d, hsa-miR-187, hsa-miR-16-2, hsa-miR-130a, hsa- miR-548n, hsa-miR-127-5p, solexa-2580-353, HS_206, hsa-miR- 663, solexa-7534-111, hsa-let-7g, HS_157, hsa-miR-610, HS_251.1, hsa-miR-519e, hsa-miR-1237, hsa-miR-1185, HS_1S1.1, HS_135, solexa-3126-285, hsa-miR-30a, hsa-miR- 192, hsa-miR-568, hsa-miR-1203, hsa-miR-28-Sp, HS_262.1, HS_170, hsa-miR-1273, hsa-miR-602, hsa-miR-374a and hsa- miR-29a.
21. The use of claim 16, wherein the stage of the vascular-related disease is one of high flow and low pressure within the artery of the individual.
22. The use of claim 21, wherein the upregulated microRNAs to inhibit under the stage of high flow and low pressure comprise at least one member selected from the group consisting of HS_70, hsa-let-7d, hsa-miR-187, solexa-2580- 353, HS_157, solexa-7534-111, hsa-miR-130a, HS_135, hsa- miR-192, hsa-miR-154, hsa-miR-151:9.1, hsa-miR-1203, hsa- miR-525-3p and HS_199.
23. The use of claim 19, wherein the downregulated microRNAs to promote under the stage of high flow and high pressure comprise at least one member selected from the group consisting of solexa-603-1846, hsa-miR-586, hsa-miR- 1201, hsa-miR-33a, HS_56, h6a-miR-520d:9.1, hsa-miR-521, hsa-miR-519a, HS_134, HS_169, HS_221, hsa-miR-496, hsa-miR- 935, hsa-miR-542-5p, solexa-5620-151, hsa-miR-99a, hsa-miR- 212, hsa-let-7f-2, hsa-miR-494, hsa-miR-1321, hsa-miR-219- 2-3p, hsa-miR-95, hsa-miR-128b:9.1, hsa-miR-33a, hsa-miR- 495, hsa-miR-1229, hsa-miR-1205, hsa-miR-524-3p, HS_150, hsa-miR-135a, hsa-miR-483-5p, hsa-miR-124a:9.1, hsa-miR- 29b-1, hsa-miR-548c-5p, hsa-miR-551a, hsa-miR-377 and hsa- miR-1304.
24. The use of claim 21, wherein the downregulated microRNAs to promote under the stage of high flow and low pressure comprise at least one member selected from the group consisting of HS_104, hsa-miR-548a-5p, hsa-miR-556- 5p, HS_169, HS_140, hsa-miR-542-5p, HS_134, hsa-miR-212, hsa-miR-363, HS_59, hsa-miR-586, hsa-miR-494, hsa-miR-1205, hsa-let-7f-2, hsa-miR-483-5p, HS_150, hsa-miR-1229, HS_156, hsa-miR-619, hsa-miR-10b and h3a-miR-371-5p.
25. A method of diagnosing an individual having a vascular-related disease according to claim 1, further wherein the individual is categorized based on progression of the vascular-related disease.
26. The method of claim 25, wherein the progression of the vascular-related disease is selected from the group consisting of early stage, mid stage and late stage.
27. The method of claim 26, wherein the pharmaceutical agent to treat the early stage progression of the vascular- related disease is at least one member selected from the group consisting of the drugs listed in Table 3.
28. The method of claim 26, wherein the pharmaceutical agent to treat the mid stage progression of the vascular- related disease is at least one member selected from the group consisting of the drugs listed in Tables 4 and 5.
29. The method of claim 26, wherein the pharmaceutical agent to treat the late stage progression of the vascular- related disease is at least one member selected from the group consisting of the drugs listed in Table 6.
30. The method of claim 1, wherein the diagnosing of the individual may be modified over the course σf disease progression.
31. A method of diagnosing a vascular-related disease comprising creating a custom microarray capable of measuring gene expression levels specific to genes under control by a known drug to determine drug activity.
32. The method of claim 31, wherein the gene expression levels are determined from a member selected from the group consisting of kit, abll, pdgfra and pdgfrb and the known drug is imatinib.
33. A use of at least one drug selected from Tables 2, 3 and 4 in the preparation of a medicament for the treatment of a vascular-related disease.
34. The use of claim 33, wherein the vascular-related disease is pulmonary hypertension.
35. The method of claim 1, wherein the artery is a pulmonary artery.
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
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EP09726302A EP2279267A4 (en) | 2008-03-27 | 2009-03-27 | Methods of novel therapeutic candidate identification through gene expression analysis in vascular-related diseases |
EP15182408.3A EP2977468B1 (en) | 2008-03-27 | 2009-03-27 | Methods of novel therapeutic candidate identification through gene expression analysis in pulmonary arterial hypertension |
US12/934,950 US8741861B2 (en) | 2008-03-27 | 2009-03-27 | Methods of novel therapeutic candidate identification through gene expression analysis in vascular-related diseases |
US14/294,329 US9499816B2 (en) | 2008-03-27 | 2014-06-03 | Methods of novel therapeutic candidate identification through gene expression analysis in vascular related diseases |
US16/908,540 US20210010082A1 (en) | 2008-03-27 | 2020-06-22 | Methods of Novel Therapeutic Candidate Identification Through Gene Expression Analysis in Vascular-Related Diseases |
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US4006508P | 2008-03-27 | 2008-03-27 | |
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US12/934,950 A-371-Of-International US8741861B2 (en) | 2008-03-27 | 2009-03-27 | Methods of novel therapeutic candidate identification through gene expression analysis in vascular-related diseases |
US14/294,329 Division US9499816B2 (en) | 2008-03-27 | 2014-06-03 | Methods of novel therapeutic candidate identification through gene expression analysis in vascular related diseases |
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